Kurwadziwa kwechiwoko here? Zvingave zviri mamiriro ekuti mapfupa maviri muruoko anotsvedza (Scapholunate Dissociation)!

Dzimwe nguva unonzwa chimwe chinhu chinoshamisa kana chinorwadza muruoko rwako here? Pamwe kurwadziwa uku kwakatanga pawakadonha, wakasimudza chimwe chinhu chinorema, kana kutamba mitambo. Kazhinji, tinofunga kuti, "Aa, kungotsinzina chete." Asi dzimwe nguva, ichi chingava chirwere chinoda kutariswa zvakanyanya. Ndizvo zvatichataura nezvazvo nhasi, chirwere chinoitika muruoko chinoda kuongororwa zvakadzama.

Chii chinonzi kutyoka kwepfupa reruoko? (Scapholunate Dissociation)

Zvichitaurwa zviri nyore, iyi `(Scapholunate Dissociation)` inoitika apo mapfupa maviri madiki ari muruoko rwedu, pfupa re`Scaphoid` nepfupa re`Lunate`, anofamba zvishoma kubva paanofanira kunge ari, zvichigadzira mukaha, kana `mukaha`, pakati pawo. Kutaura chokwadi, mapfupa maviri aya akabatana netsinga yakasimba kwazvo, yatinodaidza kuti `Scapholunate Interosseous Ligament (SLIL). Mune imwe tsaona, kunyanya kana ruoko rwakombama rwodonha, 'ligament' iyi inogona kubvaruka. Ndipo panobva kubatana pakati pemapfupa maviri, uye anotanga kufamba-famba. Paunoshandisa ruoko rwako, mapfupa maviri aya anotama kubva kune mumwe nemumwe, kana `kuparadzana`.

Izvi zvakafanana nepfundo rakasungwa pamwe chete netambo mbiri. Chero bedzi pfundo racho rakasimba, tambo mbiri idzi dziri pamwe chete, asi pfundo parinosunungurwa, tambo mbiri idzi dzinobva dzaparadzana.

Ndiani ane mukana mukuru wekuwana chirwere ichi?

Kutaura zvazviri, chirwere ichi chinonzi `(Scapholunate Dissociation)` chinogona kuitika kune chero munhu, zvisinei nekuti murume kana mukadzi here, rudzi, kana chitendero. Zvisinei, njodzi huru ndeyeavo vanowira nemaoko nemabvi avo . Fungidzira, uri kufamba mumugwagwa wobva watsvedza kamwe kamwe, tobva taisa maoko edu pasi kuti tizviponese. Ndipo panowanzoitika tsaona iyi.

Dambudziko iri rakajairika zvakadii?

Sezvatinoona, patinotarisa mamwe mavanga emaoko, mamiriro aya ekuti `(Scapholunate Dissociation)` anogona kuonekwa muzviitiko zvinenge 5% (`5%`) . Zvakare, mamwe mavanga munzvimbo yemaoko, kunyanya aya erudzi rwatinoti ``distal radius fractures``, ndiko kuti, kana pfupa guru riri muruoko rikatyoka pedyo neruoko, rinogona kuonekwa muzviitiko zvinenge 40% (`40%`) zvine mamiriro aya ekuti `(SL dissociation)` . Kune mamwe mavanga akakosha, akadai se``chauffeur fractures``, ayo anowanzoonekwa nawo.

Sei izvi zvichiitika? Ndezvipi zvikonzero?

Sezvandambotaura, chikonzero chikuru cheizvi kazhinji "kuwira paruoko rwakatambanudzwa" . Kutaura chokwadi, paunodonha woisa ruoko rwako pasi woisa huremu paruri, kumanikidzwa kunogona kubvarura "scapholunate interosseous ligament (SLIL)``.

Kunze kweizvozvo, panogona kunge paine zvimwe zvikonzero zvakawanda:

• Kubata chidhiraivho zvakasimba panguva yetsaona yemotokari, senge mota: Mutsipa uyu unogona kukuvara nekurovera paruoko panguva yekurovera kamwe kamwe.
• Zvimwe zvirwere zvinogarwa nhaka: Semuenzaniso, zvirwere zvakaita se 'Hereditary Spastic Paraparesis'.
• Kureruka kweLigament yekuzvarwa nayo: Vamwe vanhu vanoberekwa vaine mitsetse yakasununguka mumajoini avo. Izvi zvinowanzoitikawo kwavari.
• Rheumatoid Arthritis: Ichi chirwere chinokonzera kuzvimba kwemajoini. Chirwere ichi chinogonawo kukonzera kuti marunda ashaye simba, izvo zvinogona kukonzera chirwere ichi.

Ndezvipi zviratidzo zveizvi? Zvinonzwa sei?

Kana uine chirwere chinonzi "Scapholunate Dissociation", unowanzosangana nezvinotevera:

• Kurwadziwa kumashure kweruoko, kunyanya kana uchibata chimwe chinhu zvakasimba ('kubata kwakasimba') : semuenzaniso, kana uchivhura chivharo chebhodhoro kana kubata chibatiso chemusuwo.
• Kushaya simba rekubata: Kusakwanisa kubata zvinhu zvakasimba sepakutanga.
• Kuzvimba uye kunyorova kwakakomberedza ruoko: Nzvimbo yakatenderedza ruoko yakazvimba uye inorwadza kuibata.
• Kurwadziwa kana uchitambanudza ruoko rwako: Zvinorwadza kana ukatendeudza ruoko rwako.
• Dzimwe nguva unogona kunzwa ruzha rwekuti "kudzvanya" ruchibva muruoko rwako.

Yeukai kuti zviratidzo izvi hazviratidzike zvakafanana kune wese munhu. Vamwe vanhu vanorwadziwa zvakanyanya, vamwe vanorwadziwa zvishoma. Saka, kana ukanzwa chimwe chinhu chisina kujairika muruoko rwako, zvakanaka kuti uone chiremba.

Chiremba anoongorora sei izvi?

Paunoenda kunoona chiremba, vanotanga vakubvunza nezvezviratidzo zvako. Wava nenguva yakareba sei uchirwadziwa, zvakatanga sei, uye zvinotowedzera kuipa riini? Vachaongorora ruoko rwako kuti vaone kana paine kurwadziwa, kuzvimba, kana kupfava.

Pamusoro pezvo, chiremba anogona kuita bvunzo dzakadai se:

• Kuongororwa kweScaphoid Shift: Mukuedzwa uku, chiremba anoisa ruoko rwake pamusoro pepfupa rako rescaphoid uye anofambisa ruoko rwako. Kuongororwa uku kunoongorora kugadzikana kwepfupa rescaphoid.
• X-ray: Izvi zvinogona kuratidza kuti mukaha uri pakati pemapfupa escaphoid nelunate (scapholunate gap wakakura sei). Kazhinji, mukaha uyu une mamirimita maviri (2 mm) kana pasi. Zvisinei, kana paine SL dissociation, mukaha uyu unogona kuva mamirimita mashanu (5 mm) kana kupfuura. Dzimwe nguva, unogona kuona chimwe chinhu chinonzi "ring sign" paX-ray. Uku kusarongeka kwemapfupa escaphoid.
• Bvunzo reMRI (Magnetic Resonance Imaging):MRI inogona kuratidza zvakajeka kana scapholunate interosseous ligament (SLIL) yakabvaruka. Inogona kuwana mufananidzo wakanaka wenyama dzakapfava dzakatenderedza pfupa.
• Arthroscopy: Izvi zvinosanganisira kugadzira kaburi kadiki-diki uye kuisa kamera (scope) nepairi kuti utarise mukati mejoini. Izvi zvinokubvumira kuona kukuvara kwemarunda zvakananga. Dzimwe nguva, kurapwa kunogona kuitwa panguva imwe chete ne arthroscopy.

Izvi zvinorapwa sei? (Kurapwa)

Pakurapa chirwere chinonzi `Scapholunate Dissociation`, zvinhu zvekutanga zvekuita ndeizvi:

• Mishonga yekuderedza marwadzo: Mishonga inopiwa kuderedza marwadzo.
• Kuboorwa kwechiuno: Chishandiso chakakosha chinoshandiswa kudzivirira kufamba kweruoko nechigunwe. Izvi zvinobatsira kuti mitsipa yakakuvara ipore.

Zvadaro, chiremba wako angangokutumira kuna chiremba wemaoko. Dambudziko iri rinowanzoda kuvhiyiwa kwemaoko mukati memavhiki matanhatu mushure mekukuvara.

Panguva yekuvhiyiwa, uchapihwa anesthesia yakajairika (zvichireva kuti uchange wakarara zvachose), kana kuti uchapihwa anesthesia yemunharaunda (zvichireva kuti uchangonzwa kusanzwa zvakanaka). Panguva yekuvhiyiwa, chiremba acha:

• Kuchekwa kudiki kunoitwa kumashure kweruoko.
• Nyama yakakuvara inobviswa yocheneswa.
• Zvadaro, kuti uvhare mukaha uripo pakati pemapfupa escaphoid nemapfupa eLunate, kureva kuti, kuti udzorere mapfupa maviri pamwe chete, unoshandisa chimwe chinhu chakaita setendo rakatorwa kubva kune imwe nzvimbo mumuviri wako, suture, kana sikuruu yesimbi.
• Pakupedzisira, kucheka kunosonerwa pamwe chete.

Ndingaitei kuti ndideredze njodzi iyi?

Kuti uderedze njodzi yekuparadzaniswa kweScapholunate (Scapholunate Dissociation)`, chinhu chakakosha kutora matanho ekuzvidzivirira kubva pakudonha. Unogona kuita zvinhu zvakaita se:

• Kuita maekisesaizi anovandudza kuenzana, kubatana, uye simba.
• Kubvisa njodzi dzekukukurwa mumba. Semuenzaniso, tarisa kana tambo dzisina kusimba, chiedza chisina kunaka, uye makapeti.
• Kana zvichidikanwa, shandisa chinhu chinobatsira chakadai setsvimbo kana chinofamba netsoka.
• Kupfeka shangu dzakati sandara, dzakasimba, dzakanaka dzinobata makumbo.

Chii chandingatarisira kana ndine chirwere ichi? (Matambudziko)

Kana ukasakurumidza kurapwa kweSL dissociation, matambudziko akadai seaya anogona kuitika:

• Kurwadziwa kusingaperi: Ungave uchirwadziwa neruoko nguva dzose.
• Arthritis yekuzvimba: Arthritis inogona kukura nekuzvimba kwejoini.
• Kusagadzikana kwemajoini: Ruoko runogona kunzwa sekunge rwuri kufamba zvisingadzoreki.
• Kusasimba kwekubata zvinhu: Ungasakwanisa kubata zvinhu zvakanaka.
• Scapholunate Advanced Collapse (SLAC) Ankle: Ichi chirwere chearthritis chinoparadza chinoita kuti panhengo yeruoko ipere. Izvi zvinogona kurwadza zvikuru.

Zvichatora nguva yakareba sei kuti ndipore kana ndine (Scapholunate Dissociation)? (Outlook)

Kana ukavhiyiwa kuti ubvise SL, unofanira kupfeka plaster kwemavhiki mashoma mushure mezvo. Mushure mekunge chiremba aibvisa, physiotherapy inobatsira ruoko rwako kuti ruwane simba. Nekurapwa kwakakodzera uye physiotherapy, unofanira kukwanisa kudzokera kumabasa ako enguva dzose mukati memwedzi mishoma.

Ndingazvichengeta sei neScapholunate Dissociation?

Mushure mekurapwa kweSL dissociation, taura nachiremba wako nezvemhando dzemabasa nemaekisesaizi aunogona kuita zvakachengeteka. Kune mapurogiramu chaiwo eekisesaizi anogona kukubatsira kuti uwane simba uye mafambiro eruoko rwako. Usambofa wapfuura zvawakaudzwa nachiremba wako kuti uite uye ita zvinhu zvakaoma paruoko rwako.

Mharidzo Yekuenda Nayo Kumba

Zvakanaka, saka `Scapholunate Dissociation` yatakataura nezvayo ndeyekuti mapfupa maviri madiki ari muruoko, `Scaphoid` ne`Lunate`, anobuda panzvimbo yawo, zvichiita kuti pave nemukana pakati pawo. Chikonzero chikuru cheizvi kukuvara kwe`Ligament` inobatanidza mapfupa aya maviri. Izvi zvinowanzoitika kana ukadonha ruoko rwako rwakatambanudzwa.

Zviratidzo zvikuru kurwadziwa kweruoko, kuzvimba, kupfava, uye kusimba kwekubata. Chiremba anoshandisa bvunzo dzakadai seye scaphoid shift test, X-rays, MRIs, uye arthroscopy kuti aone izvi.

Kuvhiyiwa kazhinji ndiyo nzira yakanakisisa yekurapa. Nekurapwa kwakakodzera uye kurapwa kwemuviri, vanhu vazhinji vanogona kudzokera kumabasa avo enguva dzose mukati memwedzi mishoma. Saka, kana uine kurwadziwa kunoramba kuripo kana kusagadzikana muruoko rwako, zvakakosha kuona chiremba uye kuwana mazano pane kufunga kuti kungori kugomara.

` Ruoko, Marwadzo eRuoko, Mapfupa eRuoko, Maronda, Kupatsanurwa kweScapholunate, Kutyoka, Kuvhiyiwa